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Wyatt Kinner
Student in an Organized Health Care Education/Training Program in Fond Du Lac, Wisconsin
NPI 1316632532

Wyatt Kinner is a Student in an Organized Health Care Education/Training Program based in Fond Du Lac, WI. Wyatt Kinner practices in Fond Du Lac, WI. The NPI Number for Wyatt Kinner is 1316632532 and holds a License No. (Wisconsin).

The current practice location address for Wyatt Kinner is 430 E Division St, Fond Du Lac, WI and can be reached out via phone at 920-926-4200.

Location: 430 E Division St, Fond Du Lac, WI, 54935-4560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316632532
Provider Name
Wyatt Kinner
Credential
Provider Entity Type
Individual
Gender
Male
Address
430 E Division St, Fond Du Lac, WI, 54935-4560
Phone Number
920-926-4200
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
430 E Division St
City
Fond Du Lac
State
Wisconsin
Zip
54935-4560
Phone Number
920-926-4200
Fax Number
person
Provider Business Mailing Address Details
Address
430 E Division St
City
Fond Du Lac
State
Wisconsin
Zip
54935-4560
Phone Number
920-926-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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